<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns="http://www.w3.org/TR/REC-html40" xmlns:v =
"urn:schemas-microsoft-com:vml" xmlns:o =
"urn:schemas-microsoft-com:office:office" xmlns:w =
"urn:schemas-microsoft-com:office:word" xmlns:x =
"urn:schemas-microsoft-com:office:excel" xmlns:p =
"urn:schemas-microsoft-com:office:powerpoint" xmlns:a =
"urn:schemas-microsoft-com:office:access" xmlns:dt =
"uuid:C2F41010-65B3-11d1-A29F-00AA00C14882" xmlns:s =
"uuid:BDC6E3F0-6DA3-11d1-A2A3-00AA00C14882" xmlns:rs =
"urn:schemas-microsoft-com:rowset" xmlns:z = "#RowsetSchema" xmlns:b =
"urn:schemas-microsoft-com:office:publisher" xmlns:ss =
"urn:schemas-microsoft-com:office:spreadsheet" xmlns:c =
"urn:schemas-microsoft-com:office:component:spreadsheet" xmlns:odc =
"urn:schemas-microsoft-com:office:odc" xmlns:oa =
"urn:schemas-microsoft-com:office:activation" xmlns:html =
"http://www.w3.org/TR/REC-html40" xmlns:q =
"http://schemas.xmlsoap.org/soap/envelope/" xmlns:rtc =
"http://microsoft.com/officenet/conferencing" XMLNS:D = "DAV:" XMLNS:Repl =
"http://schemas.microsoft.com/repl/" xmlns:mt =
"http://schemas.microsoft.com/sharepoint/soap/meetings/" xmlns:x2 =
"http://schemas.microsoft.com/office/excel/2003/xml" xmlns:ppda =
"http://www.passport.com/NameSpace.xsd" xmlns:ois =
"http://schemas.microsoft.com/sharepoint/soap/ois/" xmlns:dir =
"http://schemas.microsoft.com/sharepoint/soap/directory/" xmlns:ds =
"http://www.w3.org/2000/09/xmldsig#" xmlns:dsp =
"http://schemas.microsoft.com/sharepoint/dsp" xmlns:udc =
"http://schemas.microsoft.com/data/udc" xmlns:xsd =
"http://www.w3.org/2001/XMLSchema" xmlns:sub =
"http://schemas.microsoft.com/sharepoint/soap/2002/1/alerts/" xmlns:ec =
"http://www.w3.org/2001/04/xmlenc#" xmlns:sp =
"http://schemas.microsoft.com/sharepoint/" xmlns:sps =
"http://schemas.microsoft.com/sharepoint/soap/" xmlns:xsi =
"http://www.w3.org/2001/XMLSchema-instance" xmlns:udcs =
"http://schemas.microsoft.com/data/udc/soap" xmlns:udcxf =
"http://schemas.microsoft.com/data/udc/xmlfile" xmlns:udcp2p =
"http://schemas.microsoft.com/data/udc/parttopart" xmlns:wf =
"http://schemas.microsoft.com/sharepoint/soap/workflow/" xmlns:dsss =
"http://schemas.microsoft.com/office/2006/digsig-setup" xmlns:dssi =
"http://schemas.microsoft.com/office/2006/digsig" xmlns:mdssi =
"http://schemas.openxmlformats.org/package/2006/digital-signature" xmlns:mver =
"http://schemas.openxmlformats.org/markup-compatibility/2006" xmlns:m =
"http://schemas.microsoft.com/office/2004/12/omml" xmlns:mrels =
"http://schemas.openxmlformats.org/package/2006/relationships" xmlns:spwp =
"http://microsoft.com/sharepoint/webpartpages" xmlns:ex12t =
"http://schemas.microsoft.com/exchange/services/2006/types" xmlns:ex12m =
"http://schemas.microsoft.com/exchange/services/2006/messages" xmlns:pptsl =
"http://schemas.microsoft.com/sharepoint/soap/SlideLibrary/" xmlns:spsl =
"http://microsoft.com/webservices/SharePointPortalServer/PublishedLinksService"
XMLNS:Z = "urn:schemas-microsoft-com:" xmlns:st =
""><HEAD><TITLE>Message</TITLE>
<META http-equiv=Content-Type content="text/html; charset=us-ascii">
<META content="MSHTML 6.00.2900.5945" name=GENERATOR><!--[if !mso]>
<STYLE>v\:* {
BEHAVIOR: url(#default#VML)
}
o\:* {
BEHAVIOR: url(#default#VML)
}
w\:* {
BEHAVIOR: url(#default#VML)
}
.shape {
BEHAVIOR: url(#default#VML)
}
</STYLE>
<![endif]-->
<STYLE>@font-face {
font-family: Calibri;
}
@font-face {
font-family: Tahoma;
}
@font-face {
font-family: Verdana;
}
@font-face {
font-family: Webdings;
}
@font-face {
font-family: French Script MT;
}
@font-face {
font-family: Imprint MT Shadow;
}
@font-face {
font-family: Palatino Linotype;
}
@page WordSection1 {size: 8.5in 11.0in; margin: 1.0in 1.0in 1.0in 1.0in; }
P.MsoNormal {
FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman","serif"
}
LI.MsoNormal {
FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman","serif"
}
DIV.MsoNormal {
FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman","serif"
}
A:link {
COLOR: blue; TEXT-DECORATION: underline; mso-style-priority: 99
}
SPAN.MsoHyperlink {
COLOR: blue; TEXT-DECORATION: underline; mso-style-priority: 99
}
A:visited {
COLOR: purple; TEXT-DECORATION: underline; mso-style-priority: 99
}
SPAN.MsoHyperlinkFollowed {
COLOR: purple; TEXT-DECORATION: underline; mso-style-priority: 99
}
P {
FONT-SIZE: 12pt; MARGIN-LEFT: 0in; MARGIN-RIGHT: 0in; FONT-FAMILY: "Times New Roman","serif"; mso-style-priority: 99; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
SPAN.EmailStyle18 {
COLOR: #1f497d; FONT-FAMILY: "Calibri","sans-serif"; mso-style-type: personal
}
SPAN.EmailStyle19 {
COLOR: navy; FONT-FAMILY: "Arial","sans-serif"; mso-style-type: personal
}
SPAN.EmailStyle21 {
COLOR: #1f497d; FONT-FAMILY: "Calibri","sans-serif"; mso-style-type: personal-reply
}
.MsoChpDefault {
FONT-SIZE: 10pt; mso-style-type: export-only
}
DIV.WordSection1 {
page: WordSection1
}
</STYLE>
<!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]--></HEAD>
<BODY lang=EN-US vLink=purple link=blue>
<DIV><FONT face=Arial color=#0000ff size=2><SPAN class=929514817-13072010>guess
we can start searching for another Yucca Mountain.....</SPAN></FONT></DIV>
<DIV><FONT face=Arial color=#0000ff size=2><SPAN
class=929514817-13072010></SPAN></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff size=2><SPAN class=929514817-13072010>and am
not about micro wave. But autoclaving won't destroy, it
simply disinfects doesn't it? disposal of pharmaceutials and proper
disposal of medical waste are two separate issues.</SPAN></FONT></DIV>
<DIV><FONT face=Arial color=#0000ff size=2><SPAN
class=929514817-13072010></SPAN></FONT> </DIV>
<DIV><FONT face=Arial color=#0000ff size=2><SPAN class=929514817-13072010>allen
g</SPAN></FONT></DIV>
<BLOCKQUOTE style="MARGIN-RIGHT: 0px">
<DIV></DIV>
<DIV class=OutlookMessageHeader lang=en-us dir=ltr align=left><FONT
face=Tahoma size=2>-----Original Message-----<BR><B>From:</B>
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B>On Behalf Of </B>Jan
Harris<BR><B>Sent:</B> Tuesday, July 13, 2010 12:12 PM<BR><B>To:</B> Sue
Dayton; 'Al White'; 'gressitt'; 'Holcomb, Sarah, NMENV'<BR><B>Cc:</B>
pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B> RE: [Pharmwaste] Federal
Incineration Reg - Email found in subject<BR><BR></FONT></DIV>
<DIV class=WordSection1>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Sue,
what would be your proposed method of destruction for the pharmaceutical waste
there in NC? <o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'"><o:p> </o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Jan
Harris, MPH<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Director,
EHS<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Sharps
Compliance<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'"><A
href="mailto:jharris@sharpsinc.com">jharris@sharpsinc.com</A>
<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'"><o:p> </o:p></SPAN></P>
<DIV>
<DIV
style="BORDER-RIGHT: medium none; PADDING-RIGHT: 0in; BORDER-TOP: #b5c4df 1pt solid; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: medium none; PADDING-TOP: 3pt; BORDER-BOTTOM: medium none">
<P class=MsoNormal><B><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: 'Tahoma','sans-serif'">From:</SPAN></B><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: 'Tahoma','sans-serif'">
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B>On Behalf Of </B>Sue
Dayton<BR><B>Sent:</B> Tuesday, July 13, 2010 5:04 AM<BR><B>To:</B> 'Al
White'; 'gressitt'; 'Holcomb, Sarah, NMENV'<BR><B>Cc:</B>
pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B> RE: [Pharmwaste] Federal
Incineration Reg - Email found in subject<o:p></o:p></SPAN></P></DIV></DIV>
<P class=MsoNormal><o:p> </o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'">Hello
Al:</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'"> </SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'">We are
currently “fighting” two medical waste incinerators here in NC: Stericycle and
BMWNC (Healthcare Waste Solutions). Our goal is to convince them to switch to
more environmentally-friendly methods of disposal, (i.e.), microwaving or
autoclaving. Both incinerators are located next to schools and residential
neighborhoods. Both have continued violations. Both are out of compliance with
the new air standards for air pollutants under the new EPA rules for medical
waste incinerators promulgated in 2009. Both burn paper and plastics as a
means to <I>fuel the incinerators</I> – a method to reduce fuel costs, but a
monstrous and absolutely needless disposal method that results in the
formation of dioxins. </SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'"> </SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'">There
is <I>no regulation or testing</I> <I>required</I> for the zillions of
pharmaceuticals being incinerated: we do not know what is going in nor do we
know what is going out. Haz pharms are supposed to be separated from non-haz
pharms in our state (NC does not incinerate haz waste); however, questions
remain if the two are actually being efficiently and effectively segregated.
</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'"> </SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'">The
new EPA rules include (in addition to better recycling and waste segregation,
increased monitoring/testing and removal of the exemption for uncontrolled
emissions from “by-pass” events) stricter standards for air pollutants for
medical waste incinerators. We are pushing to have our NC implement the new
rules two years earlier than the EPA’s compliance date of 2014.
</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'"> </SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'">Pharms
disposal continues to be a wild card and must somehow be better regulated,
tested and dealt with regarding their potential impacts to public health and
the environment. </SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'"> </SPAN><o:p></o:p></P>
<DIV>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'">Sue
Dayton</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'">Blue
Ridge Environmental Defense League</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'">North
Carolina Healthy Communities Program</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'">PO BOX
44</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'">Saxapahaw,
NC 27340</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'">(336)
525-2003</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'"><A
href="mailto:sdayton@swcp.com">sdayton@swcp.com</A></SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN style="COLOR: navy"> </SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN style="COLOR: navy"> </SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN style="COLOR: navy"> </SPAN><o:p></o:p></P>
<DIV>
<P class=MsoNormal
style="mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><EM><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Palatino Linotype','serif'">Our
lives begin to end the day we become silent about things that
matter. - Martin Luther King Jr.</SPAN></EM><o:p></o:p></P>
<P class=MsoNormal
style="mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN
style="COLOR: navy; FONT-FAMILY: 'Arial','sans-serif'"> </SPAN><o:p></o:p></P></DIV>
<P class=MsoNormal><SPAN style="COLOR: navy"> </SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="COLOR: navy"> </SPAN><o:p></o:p></P></DIV>
<DIV>
<DIV class=MsoNormal style="TEXT-ALIGN: center" align=center>
<HR align=center width="100%" SIZE=2>
</DIV>
<P class=MsoNormal><B><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: 'Tahoma','sans-serif'">From:</SPAN></B><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: 'Tahoma','sans-serif'">
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B>On Behalf Of </B>Al
White<BR><B>Sent:</B> Tuesday, July 13, 2010 4:26 AM<BR><B>To:</B> 'gressitt';
'Holcomb, Sarah, NMENV'<BR><B>Cc:</B>
pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B> RE: [Pharmwaste] Federal
Incineration Reg</SPAN><o:p></o:p></P></DIV>
<P class=MsoNormal> <o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Sarah/
Stevan:</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'"> </SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Incineration
is a very cost intensive, non-sustainable practice, Additionally and most
importantly it must be performed properly under strict monitoring conditions.
The un-intended by-product “Dioxin” et.al. will be produced and released If
the pharm compounds are not raised to proper temperatures and maintained for
prescribed time intervals under prescribed containment conditions. This is not
a simple task. I am amazed that this practice is even
permitted.</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'"> </SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Al
White</SPAN><o:p></o:p></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'"> </SPAN><o:p></o:p></P>
<DIV>
<DIV
style="BORDER-RIGHT: medium none; PADDING-RIGHT: 0in; BORDER-TOP: #b5c4df 1pt solid; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: medium none; PADDING-TOP: 3pt; BORDER-BOTTOM: medium none">
<P class=MsoNormal><B><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: 'Tahoma','sans-serif'">From:</SPAN></B><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: 'Tahoma','sans-serif'">
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B>On Behalf Of
</B>gressitt<BR><B>Sent:</B> Monday, July 12, 2010 6:08 PM<BR><B>To:</B>
Holcomb, Sarah, NMENV<BR><B>Cc:</B>
pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B> Re: [Pharmwaste] Federal
Incineration Reg</SPAN><o:p></o:p></P></DIV></DIV>
<P class=MsoNormal> <o:p></o:p></P>
<P class=MsoNormal style="MARGIN-BOTTOM: 12pt"><SPAN
style="FONT-FAMILY: 'Verdana','sans-serif'">I would ask them to provide
the reg. It is not true in Maine.</SPAN><o:p></o:p></P>
<DIV>
<DIV>
<DIV>
<P class=MsoNormal style="MARGIN-BOTTOM: 10pt">Stevan Gressitt,
M.D.<BR>Faculty Associate, University of Maine Center on Aging<BR>Founding
Director<BR>Maine Institute for Safe Medicine<BR>University of New England,
College of Pharmacy<BR>Department of Pharmaceutical Sciences <BR>Associate
Professor of Clinical Psychiatry<BR>University of New England, College of
Osteopathic Medicine<BR>716 Stevens Avenue <BR>Portland, Maine 04103<BR><A
href="mailto:gressitt@gmail.com">gressitt@gmail.com</A> <BR>Cell:
207-441-0291 <o:p></o:p></P>
<P class=MsoNormal
style="MARGIN-BOTTOM: 10pt"> </P></DIV></DIV></DIV></DIV></BLOCKQUOTE></BODY></HTML>